Individual provider Active NPI

Denis P Raleigh, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Idaho Falls, ID
National Provider Identifier
1427069855
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MC-0944 Issued in ID
Practice address
3200 Channing Way Ste 205
Idaho Falls, ID 83404-7546
Phone
(208) 535-4580
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MC-0944 ID Primary

Addresses

Primary practice location

3200 Channing Way Ste 205
Idaho Falls, ID 83404-7546

Mailing address

PO Box 277381
Atlanta, GA 30384-7381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, ND, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121231000126 AL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0941219497 Reassigns benefits to 1 organization
I20210923001600 ND Practitioner - Thoracic Surgery 0941219497 Reassigns benefits to 1 organization
I20230105001907 ID Practitioner - Thoracic Surgery 0941219497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Physician Services IncGroup PAC ID 2163430943, 18 clinicians

Practice addresses (Care Compare)

2860 Channing Way
Suite 116
Idaho Falls, ID 83404-7532
Phone (208) 535-4567

2860 Channing Way
Suite 220
Idaho Falls, ID 83404-7541
Phone (208) 800-6155

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111

3200 Channing Way
Suite A205
Idaho Falls, ID 83404-7586
Phone (208) 535-4580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MC-0944IDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 1, 2013 Accepting new patients
Idaho Physician Services Inc. CurrentSince Oct 3, 2022 Accepting new patients
St Alexius Medical Center CurrentSince Jul 6, 2021 Accepting new patients
St. Alexius Medical Center CurrentSince Jul 6, 2021 Accepting new patients
Center for Advanced Cardiac Therapies PSC Past Accepting new patients
Louisville Heart Surgery, PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

205 Marengo St
Florence, AL 35630
Phone (256) 768-8350

203 Avalon Ave
Ste 300
Muscle Shoals, AL 35661
Phone (256) 386-1132

2860 Channing Way
Ste 116
Idaho Falls, ID 83404
Phone (208) 529-0575

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

3200 Channing Way
Ste 220
Idaho Falls, ID 83404
Phone (208) 800-6155

2860 Channing Way
Ste 220
Idaho Falls, ID 83404
Phone (208) 535-4000

3200 Channing Way
Ste 205
Idaho Falls, ID 83404
Phone (208) 535-4300

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: draleigh@yourcarecommunity.org
  • Direct secure messaging: denis.raleigh@hca3.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1427069855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277381",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CHANNING WAY STE 205",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047546",
            "telephone_number": "208-535-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEIGH",
        "first_name": "DENIS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ID",
            "license": "MC-0944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.